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Topic:Disease

The study of diseases in horses encompasses a wide range of conditions affecting equine health, including infectious diseases, metabolic disorders, and genetic abnormalities. These diseases can impact various systems within the horse, such as respiratory, gastrointestinal, and musculoskeletal systems, and can lead to significant health challenges. Research in this area focuses on understanding the pathophysiology, diagnosis, prevention, and treatment of equine diseases. Common diseases studied include equine influenza, equine herpesvirus, and laminitis. This page provides access to peer-reviewed research studies and scholarly articles that explore the etiology, clinical presentation, and management strategies of diseases in horses, contributing to the advancement of equine veterinary medicine.
Assessment of the Welfare of Working Horses: Combining Clinical Evaluations with Indirect Indicators.
Veterinary sciences    March 16, 2026   Volume 13, Issue 3 274 doi: 10.3390/vetsci13030274
Basher AA, Ahmed AA, Pfukenyi DM, Liu HY, Essa MOA, Husien HM, Saleh AA, Adam SY, Cai D.Assessing the welfare of the working horses is crucial for identifying health and management issues and implementing effective solutions. This study evaluated the welfare of working horses in South Darfur, Sudan, by integrating clinical examination with indirect indicators through owner interviews. A total of 400 horse-owner pairs were included. Most horses (61.7%) worked every day, and 77% of owners reported using whips to encourage movement. Clinical assessment revealed that 29.0% of horses were thin, over half had dirty coats, 50.5% harbored external parasites, 43% had abnormal discharges, ...
Changes in the Mare Oviduct Across Different Seasons Throughout the Year.
Veterinary medicine and science    March 14, 2026   Volume 12, Issue 2 e70753 doi: 10.1002/vms3.70753
González N, Varela A, de Blas N, Gil L.At present, oviductal pathologies and their influence on mare fertility have not been clearly determined. Checking changes throughout the year in the oviductal structure may be relevant to understand the influence on the appearance of problems in oviductal functionality and, thus, the impact on fertility, which is the objective of this work. The oviducts of 56 mares were examined. Their anatomy, permeability, oviductal cellularity and the presence of pathologies were assessed to establish the correlations between the time of the year and each of these parameters. We cannot conclude whether the...
Trends in the prevalence of Gidoh at Japan Racing Association Training Centers in 2020.
Journal of equine science    March 14, 2026   Volume 37, Issue 1 21-26 doi: 10.1294/jes.37.21
Kuwano A, Kusano K, Mita H, Tamura N, Tokushige H, Iimori M, Kurimoto S, Kawabata M, Ueno M, Okada Y, Kamiya K, Tanaka K.Pathological hoof-wall cavities unrelated to nailing (so called "Gidoh" in Japan) often occur in the feet of horses. In 2001, in facilities managed by the Japan Racing Association (JRA), Gidoh was found to occur most frequently in the toe of the fore-hoof, with no gender predilection, and was more prevalent in older horses. However, it remains unclear whether this trend has continued in recent years, which pathological type of Gidoh predominates, and whether there are differences in prevalence among seasons. Therefore, in spring (April) and autumn (October) of 2020, we surveyed all racehorses ...
Plasmidial virulence of Rhodococcus equi and its implications of livestock infections for human health: a possible foodborne pathogen?
Revista do Instituto de Medicina Tropical de Sao Paulo    March 13, 2026   Volume 68 e23 doi: 10.1590/S1678-9946202668023
Ribeiro MG, Barbosa AN, Pereira JG, Possebon FS, Pinto JPAN, Portilho FVR, Bello TS, Paz PJL, Arabe Filho MF, Panegossi LC, Reznik AU, Zeferino LO....Rhodococcus equi, a versatile and adapted opportunistic in nature bacterium, infects animals and humans. This soil-borne microorganism widely occurs in farms. Its dissemination occurs by feces from domestic animals (particularly horses, cattle, and pigs). In the last decades, bacterial virulence has been strongly attributed to plasmid-encoded virulence-associated proteins (VAPs). To date, three virulence plasmid types have been recognized: pVAPA, pVAPB, and pVAPN, which are considered host- or livestock-adapted. The pVAPA type is related to equine isolates (horse-type), the pVAPB type is assoc...
Decoding sebaceous gland functions and diseases: insights from domestic animals.
Veterinary research communications    March 13, 2026   Volume 50, Issue 3 197 doi: 10.1007/s11259-026-11128-0
Pfannkuche H, Maus J, Engel KM, Schiller J, Schneider MR.Skin sebaceous glands (SGs) synthesize and secrete sebum, a mixture of lipids and cellular debris that defends the external body surface against physicochemical challenges. Recent data define the SG as a dynamic entity with potential functions beyond skin protection, including immunomodulatory actions and the regulation of energy metabolism. We postulate that the SG also has important, unrecognized roles in physiological and pathological processes in domestic animals. Conversely, data derived from domestic animals may have translational relevance for humans. This review article summarizes SG s...
Theileria haneyi: An Emerging Equids Hemoparasite with Milder Virulence but Major Diagnostic and Therapeutic Implications.
Pathogens (Basel, Switzerland)    March 12, 2026   Volume 15, Issue 3 309 doi: 10.3390/pathogens15030309
Elsawy BSM, Alzan HF., a recently discovered tick-borne hemoparasite infecting equids globally, has significant implications for equine health. Although it is closely related to (sharing 23% genomic divergence), it establishes an asymptomatic carrier state in persistently infected horses, creating a silent transmission reservoir. Its discovery and unique genetics justify its classification as a new taxon. A critical diagnostic challenge is that the lack of the gene in prevents its detection by the standard cELISA, emphasizing the need for species-specific tools. Although species-specific PCR assays, including ...
Spontaneous regression of equine sarcoids is an exceptional event.
Equine veterinary journal    March 11, 2026   doi: 10.1002/evj.70158
Brandt S.Sarcoids are benign, yet locally aggressive skin tumours that commonly affect horses and other equid species. The lesions are induced by bovine papillomavirus types 1, 2, and probably 13 in conjunction with other factors including trauma and a genetic predisposition. Although sarcoids have a substantial impact on the health and welfare of affected equids, information on the immune response to bovine papillomavirus infection and resulting sarcoids is limited. However, there is evidence that sarcoid disease is associated with an impaired immune response to bovine papillomavirus infection. This o...
Starch Overload and Cecal Alkalinization: Impacts on the Intestinal Microbiota and Health of Horses.
Veterinary and animal science    March 11, 2026   Volume 32 100619 doi: 10.1016/j.vas.2026.100619
Bustamante CC, Pereira PAM, Fernandes CC, Canola PA, Doria RGS, Costa MC, Valadão CAA.Starch overload induces dysbiosis primarily through a reduction in cecal pH. This study aimed to evaluate the cecal microbiota following excessive starch intake, with or without the administration of an intracecal buffering solution. We hypothesized that the buffering solution would mitigate changes in the intestinal microbiota and associated clinical signs. Ten horses were randomly assigned to two groups, each receiving distinct treatments (Group I: saline solution [WSa] and starch-buffer [SB]; Group II: buffer-water [WB] and starch-saline [SSa]). Following starch overload (17.6 g/kg body wei...
Nationwide Serological Survey of Equine Trypanosomosis in Kazakhstan.
Pathogens (Basel, Switzerland)    March 11, 2026   Volume 15, Issue 3 303 doi: 10.3390/pathogens15030303
Equine trypanosomosis remains an important veterinary concern in regions where horses play a significant economic and cultural role. In Kazakhstan, comprehensive nationwide data on the seroepidemiological status of equine trypanosomes are limited. The aim of this study was to assess the serological distribution of equine trypanosomosis across all administrative regions of Kazakhstan using complement fixation testing (CFT). A total of 6065 equine serum samples were collected from seventeen regions between 2023 and 2025. Antibodies against members of the subgenus were detected using a WOAH-reco...
Computational modelling of the equine arteritis virus GP5/M Dimer: Implications for immune evasion and virulence.
PloS one    March 10, 2026   Volume 21, Issue 3 e0344287 doi: 10.1371/journal.pone.0344287
Veit M, Matczuk AK.Equine arteritis virus (EAV) is a positive-stranded RNA virus of the Arteriviridae family. Its GP5/M dimer, the principal component of the viral envelope, mediates virus budding and serves as a key target for neutralizing antibodies. Using AlphaFold3, we predicted the 3D structure of the EAV GP5/M dimer and compared it to its homolog in porcine reproductive and respiratory syndrome virus (PRRSV). Both complexes share a conserved architecture comprising a short ectodomain, three helical transmembrane regions, and a β-sheet-rich endodomain. EAV GP5 features a longer ectodomain with four α-heli...
Modified Medial Canthoplasty for Correction of Euryblepharon in Two Horses.
Veterinary ophthalmology    March 8, 2026   Volume 29, Issue 2 e70165 doi: 10.1111/vop.70165
Letourneau AR, Butler BA, Martinez PS, da Costa Martins B, Monk CS, Plummer CE.To describe a medial canthoplasty surgical procedure in two horses for correction of euryblepharon, secondary to microphthalmia, and following excision of retrobulbar fat prolapse. Methods: A 1 year old thoroughbred mare was presented for small globes and chronic ocular discharge bilaterally. Ophthalmic examination revealed microphthalmos, euryblepharon, medial canthal pocket syndrome, and dacryocystitis bilaterally with no visual impairments. A 2 year old Appaloosa gelding was presented for evaluation of a smooth, subconjunctival mass anterior to the right globe in the medial canthus. Oph...
Sequential measurement of serum amyloid A concentrations in ill hospitalized neonatal foals.
Journal of veterinary internal medicine    March 6, 2026   Volume 40, Issue 2 aalag035 doi: 10.1093/jvimsj/aalag035
van den Brom-Spierenburg AJ, Siegers EW, Westermann CM, Vernooij JCM, Sloet van Oldruitenborgh-Oosterbaan MM, Theelen MJP.In hospitalized foals, limited data are available on the utility of sequential measurement of SAA concentrations and the value of these data in a clinical setting. Objective: To determine serum amyloid A (SAA) concentrations in ill neonatal foals at multiple timepoints during hospitalization, and to evaluate a potential association with systemic inflammatory response syndrome (SIRS) status, blood culture (BC) result, and survival. Methods: Hospitalized ill foals (n = 90, ≤ 14 days). Methods: In this retrospective study, foals were classified based on SIRS criteria: "SIRS" or "NonSIRS," ...
Equine neorickettsiosis: A global perspective of the natural habitat of the bacteria and clinical disease.
Veterinary microbiology    March 6, 2026   Volume 316 110963 doi: 10.1016/j.vetmic.2026.110963
Arroyo LG, Borges AS, Baird JD, Perry BD, Rikihisa Y, Greiman SE.Equine neorickettsiosis (EN) is an infectious, non-contagious systemic disease of horses caused by the closely related obligatory intracellular bacterial species Neorickettsia risticii and N. findlayensis. Clinical cases are considered endemic in multiple regions across the United States and Canada, as well as in parts of South America, including Uruguay and Brazil. Neorickettsia spp. are obligate endosymbionts of digenean trematodes, which have complex life cycles involving a molluscan first intermediate host, a wide range of invertebrate or vertebrate second intermediate hosts, and a vertebr...
Horse immune response of recombinant Lawsonia intracellularis vaccine: Assessing the immunomodulatory impact of probiotic supplementation.
Research in veterinary science    March 2, 2026   Volume 204 106132 doi: 10.1016/j.rvsc.2026.106132
Conrad NL, Mazzoleni I, Abreu MC, Costa AV, Di Giácomo CP, Zorzi VSG, Leite FPL.Equine proliferative enteropathy (EPE), caused by Lawsonia intracellularis induces intestinal epithelial hyperplasia, resulting in malabsorption, weight loss, colic, and diarrhea. Despite its clinical and economic importance, no equine-specific vaccine is commercially available. Recombinant subunit vaccines are a safe and scalable alternative; however, their immunogenicity often requires improvement. Probiotic supplementation with Bacillus toyonensis may act as an immunomodulatory strategy to potentiate vaccine efficacy. This study aimed to evaluate the immunogenicity of a recombinant protein ...
Rift Valley Fever Virus Exposure in Camels and Horses Across Northern Nigeria Livestock Markets.
Pathogens (Basel, Switzerland)    February 28, 2026   Volume 15, Issue 3 258 doi: 10.3390/pathogens15030258
Ehizibolo DO, Oyekan O, Mkpuma N, Haliru H, Garba I, Turaki IZ, Williams EE, Danmarwa A, Mohammed A, Muhammad MA, Abubakar M, Brown C, Faburay B.Rift Valley Fever (RVF) is a neglected vector-borne zoonotic disease of significant veterinary and public health concern in Sub-Saharan Africa. This study investigated the seroprevalence of Rift Valley Fever Virus (RVFV) exposure and associated risk factors among camels and horses marketed in northern Nigeria. A total of 1117 animals were sampled, comprising camels (812) and horses (305), across three major livestock markets (Maigatari, Maiduguri, and Illela). The overall seroprevalence was 18.8% (95% CI: 16.6-21.2%), with a striking six-fold disparity: camels showed a prevalence of 24.4% (95%...
Evaluation of oxidative stress and antioxidant defense biomarkers in healthy and colic horses: correlation with type of colic and outcome.
Journal of veterinary internal medicine    February 26, 2026   Volume 40, Issue 1 aalag017 doi: 10.1093/jvimsj/aalag017
Bindi F, de Marchi L, Elias-Cortajarena A, Sala G, Vitale V, Spadari A, Rinnovati R, Bonelli F, Sgorbini M.Colic is a major cause of morbidity and mortality in horses, with oxidative stress implicated in its pathophysiology. Objective: Evaluate biomarkers (BIOs) of oxidative stress and antioxidant defense in healthy horses and those with non-strangulating colic (NSC) and strangulating colic (SC) and assess correlations with survival. Methods: Seventy-one adult horses: 10 healthy and 61 colic-affected (42 NSC, 19 SC) admitted to 3 veterinary teaching hospitals. Methods: Prospective, multicenter cohort study. Blood samples were collected at admission (T0) and up to 96 h post-admission. Biomarkers me...
Clinical Manifestations and Behaviors Associated with Equine Head and Neck Disorders.
The Veterinary clinics of North America. Equine practice    February 26, 2026   S0749-0739(26)00002-7 doi: 10.1016/j.cveq.2026.01.002
Nout-Lomas YS, Story MR.Equine head and neck disorders can present with a wide range of clinical manifestations, depending on the structures involved and disease process. Important components of the gastrointestinal, respiratory, ophthalmological, neurological, and musculoskeletal systems are contained within the head and neck, and clinical signs of disorders will result in expected clinical signs. However, clinical manifestations of disease are sometimes subtle, and when not recognized can lead to behavioral changes including undesired behaviors and poor sleep. Recognizing behavioral phenotypes of horses with proble...
Ectopic eruption of a permanent mandibular tooth in a miniature horse: case report.
Veterinary research communications    February 25, 2026   Volume 50, Issue 3 173 doi: 10.1007/s11259-026-11119-1
Mendes RP, Gonzaga MS, Matheus MM, Bittar MJ, Doria RGS, Corrêa RR.Developmental and eruption abnormalities are common and can result in progressive dental diseases. Ectopic eruption of the affected tooth may be the result of these processes. This study aims to report the occurrence of a permanent mandibular tooth in a horizontal position, with retention of the corresponding deciduous tooth, in a miniature horse. A 2-year-old female miniature horse was admitted to the veterinary hospital with a hard swelling on the left mandibular ramus, which had been growing continuously for three months. After a complete evaluation, it was concluded that the swelling was t...
Adjunctive use of Maggot Debridement Therapy in the treatment of equine cutaneous pythiosis: A case report.
Veterinary parasitology, regional studies and reports    February 24, 2026   Volume 69 101462 doi: 10.1016/j.vprsr.2026.101462
Dillmann JB, Dos Santos TS, Dos Santos RC, Monteiro SG.Equine cutaneous pythiosis, caused by Pythium insidiosum, is a severe disease in tropical and subtropical regions, often leading to progressive granulomatous lesions with poor response to conventional therapies. Standard treatment includes surgical excision and immunotherapy, but recurrence is common, particularly in distal limb lesions. Maggot Debridement Therapy (MDT) with disinfected Lucilia cuprina larvae provides selective debridement, microbial control, and stimulation of granulation, representing a potential adjunctive option. This report describes the successful use of MDT combined wit...
The Dark Side of Grasslands: Endophyte Toxicosis in Horses-Exposure Risks, Health Consequences, and Management.
Toxins    February 24, 2026   Volume 18, Issue 3 117 doi: 10.3390/toxins18030117
Zebeli Q, Lindner L, Metzler-Zebeli BU.Grasslands are the cornerstone of horse feeding, used for grazing and to produce roughages and their products. However, improper grassland management hides several threats for equine health. In this context, grasslands contaminated with toxin-producing endophytes are considered an increasing threat for horses in many parts of the world. Endophytes are fungi that may grow in a mutualistic relationship in a range of grasses, including fescue grass and perennial ryegrass, two foliage species commonly found in European and American meadows and pastures. The endophytes produce alkaloids that are hi...
Serial postoperative peritoneal fluid analyses in horses with naturally-occurring strangulating and non-strangulating gastrointestinal lesions.
Veterinary surgery : VS    February 22, 2026   doi: 10.1111/vsu.70089
Granello ME, Young JM, Cleff DB, Banks EBM, Trumble TN.To describe characteristics of postoperative peritoneal fluid following exploratory laparotomy for naturally-occurring gastrointestinal lesions in horses. Methods: Prospective, observational cohort study. Methods: A total of 26 client-owned horses that underwent exploratory laparotomy for naturally-occurring gastrointestinal lesions. Methods: Abdominocentesis was performed pre- or intraoperatively, and at three time points postoperatively (24, 72, and 168 h). Peritoneal lactate, total protein (TP), total nucleated cell count (TNCC), cytology, and systemic lactate were performed at each time ...
Update on Idiopathic Trigeminal-Mediated Headshaking.
The Veterinary clinics of North America. Equine practice    February 20, 2026   S0749-0739(25)00071-9 doi: 10.1016/j.cveq.2025.12.003
Aleman M, Morales CJ.Idiopathic trigeminal-mediated headshaking is a painful neuropathic disorder characterized by sudden, violent, predominantly vertical head movements of unknown etiology. Clinical signs may be seasonal or persistent and triggered by light, sound, exercise, or tactile nasal stimulation. The pathophysiology is multifactorial, involving abnormal trigeminal nerve excitability influenced by hormonal, environmental, and dietary factors. Treatment is challenging and typically multimodal, aiming to reduce trigeminal hypersensitivity and improve quality of life.
Influence of parasitic load, breed, age, housing and season on skin and hair coat condition in horses.
Journal of equine veterinary science    February 20, 2026   Volume 159 105818 doi: 10.1016/j.jevs.2026.105818
DeBel NA, Yalavarthi G, Johnson JR, Simoneau AT, Sweeney B, Stearns G, Saliceti A, Rutstein H, Amalaradjou MA, Govoni KE, McBride ZG, Moore TE....Strongyles are nematode parasites that affect the large intestine and cecum of the horse, with symptoms ranging from poor hair coat to colic. This can influence gut health, nutrient absorption, and overall body condition. Objective: Determine the effects of parasitic load, breed, age, housing, and season on skin and hair coat conditions. We hypothesized that horses with low fecal egg counts would have better hair and skin coat condition compared with those with high fecal egg counts. Methods: A total of forty-five Morgan and 11 Thoroughbred horses were included in this study. We tested the eff...
Fragile foal syndrome: manifestations, heterozygous advantage and the future of breeding policies.
Journal of equine veterinary science    February 20, 2026   Volume 159 105816 doi: 10.1016/j.jevs.2026.105816
Gartland KL, Leśniak K, Twigg-Flesner A.Scientific interest in relation to Fragile Foal Syndrome (FFS) has proliferated in the last decade, but before this, many clinical cases were attributed to other similarly presenting equine neonatal disorders. It was thought that FFS-affected foals were mainly miscarried throughout gestation, but recent study results suggest that often, foals are born alive and die shortly after birth. FFS is proposed to have originated as long ago as the Godolphin Arabian, but the definite derivation of the mutant allele is unconfirmed. The discovery that FFS is present in 11-30% of Warmbloods and 2-3% of Tho...
The neutrophil-to-lymphocyte ratio is associated with disease severity and infectious etiologies of colitis in horses presenting with acute colitis.
American journal of veterinary research    February 18, 2026   1-9 doi: 10.2460/ajvr.25.12.0447
Samuels AN, Collins N, Albrecht M, Cuming R, Reed S, Gomez D, Toribio R.To evaluate associations between the neutrophil-to-lymphocyte ratio (NLR), nonsurvival, illness severity, and infectious etiologies. Unassigned: This was a retrospective multicenter study that included 100 healthy horses and 444 horses presenting with acute diarrhea to 5 equine referral hospitals. Inclusion criteria were diarrhea duration < 48 hours, complete hemograms, and outcome data. Illness severity was assessed using systemic inflammatory response syndrome. The results of pathogen testing for Salmonella spp, equine coronavirus, Clostridium spp, and Neorickettsia risticii/findlayensis ...
Disorders of the Equine Head and Neck: Paranasal Sinuses.
The Veterinary clinics of North America. Equine practice    February 18, 2026   Volume 42, Issue 1 79-85 doi: 10.1016/j.cveq.2025.12.012
Luedke LK.This article provides an overview of equine paranasal sinus disease with emphasis on relevant anatomy, diagnostic considerations, and commonly encountered pathologic conditions. It outlines the structure and drainage of the paranasal sinuses to establish a foundation for understanding disease development and spread. The discussion reviews available diagnostic modalities and their roles in localizing disease and determining underlying causes. Common sinus disorders are presented with attention to their general pathophysiology, diagnostic features, treatment approaches, and expected outcomes. Co...
Multi-Kingdom Fecal Microbiota Alterations in Horses with Severe Equine Asthma.
Microorganisms    February 17, 2026   Volume 14, Issue 2 484 doi: 10.3390/microorganisms14020484
Santos R, Hunyadi L, Sundman E, Morales Luna L, Hyde SC, Cain M, Migl K, Ancira J, Tipton C, Rosa F.Severe equine asthma (SEA) is a chronic inflammation of airways affecting ~14-20% of adult horses in the Northern Hemisphere. SEA is characterized by a mixed phenotype of T helper cell responses with marked neutrophilia in the bronchoalveolar lavage fluid (BALF) of affected horses. Human studies have demonstrated the impact of gut microbiota in many diseases, including asthma susceptibility and severity. However, the potential role of the gut-lung axis in the development and persistence of SEA remains to be determined. This study aimed to identify key bacterial, archaeal, and fungal microbiota...
Markers of bone turnover, parathyroid hormone, calcium, and magnesium concentrations in horses with acute colitis.
Veterinary journal (London, England : 1997)    February 16, 2026   Volume 316 106595 doi: 10.1016/j.tvjl.2026.106595
Kamr A, Fortin-Trahan R, Arroyo LG, Hostnik LD, Gomez DE, Toribio RE.Hypocalcemia is frequent in horses with colitis. Information on serum parathyroid hormone (PTH) concentrations and its association with bone turnover biomarkers in horses with colitis is lacking. We aimed to determine the association between serum bone resorption biomarkers (C-terminal telopeptide of type I collagen [CTX-I]) and bone formation (osteocalcin [OCN]) with blood PTH, total calcium (tCa), ionized calcium (iCa), phosphorus (Pi), and total magnesium (tMg) concentrations, and mortality in horses with acute colitis. A total of 163 horses were divided into colitis (n = 127) and healt...
[Pigmentation disorders in the nasal vestibule of horses with nasal discharge].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    February 13, 2026   Volume 54, Issue 1 38-46 doi: 10.1055/a-2710-4022
Kremer H, Bartling B.The nasal vestibule of numerous horses is pigmented. In the ventral part of the nasal vestibule, this pigmentation is often disturbed resulting in a clearly depigmented area. As nasal discharge passes this area, our study aimed at the practical quantification of the depigmented area in the nasal vestibule of horses and the analysis of its relation to nasal discharge and other parameters.This study included 74 horses (59 warmblood horses, 15 ponies) with pigmented nasal vestibule. When a depigmentation was found to be present in the ventral part, this area was photographed and quantified by use...
[Equine laryngeal dysplasia – overview of variable clinical presentation based on 6 cases].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    February 13, 2026   Volume 54, Issue 1 60-67 doi: 10.1055/a-2751-7292
Werner CA, Wimmer-Scherr CM, Schwarz BC.Equine laryngeal dysplasia (ELD) is the umbrella term for various malformations of laryngeal structures that arise from the 4th and 6th branchial arches during embryogenesis. The disease is rare and may be subclinical. In symptomatic patients with clinical signs, the clinical presentation is highly variable and is the result of functional limitations of the larynx as well as of the esophageal sphincter. The spectrum of signs may range from respiratory changes such as abnormal respiratory noise, coughing, and at times dyspnea all the way to poor performance, dysphagia, aerophagia, and colic. Th...